cloth diapers

Choosing a child care program can be difficult for parents. Many parents feel guilt over leaving their child in the care of others, and worry about the quality of care their child will receive. Added to this dilemma, parents may worry that their chosen child care program will not accept cloth diapers, or will use them reluctantly.

Being faced with a parent who wants to use cloth diapers can be intimidating for child care providers. They may worry that the diapers will be hard to use or will leak constantly. They may not know what to do with soiled cloth diapers, and be reluctant to approach parents with their concerns.

Children's Health is the Main Concern

Parents choose to use cloth diapers for various reasons. Saving money and environmental concerns are popular arguments in the cloth vs disposables debate, but the foremost concern of most cloth diapering parents is their child's health.

Ironically it is the health of children that causes many child care programs to be reluctant to use cloth diapers. Due to the mass marketing campaigns of disposable diaper companies and popular misconceptions, many people feel that cloth diapers are hard to use and unsanitary. However, there is evidence to the contrary. According to a study led by Family and Health Systems Nursing, School of Nursing, Peabody College: "Analysis of the results of comparisons between cloth and paper diapers showed no significant difference in the frequency or the intensity of fecal contamination in child day care centers." Assuming the child care program's diaper-changing procedures are followed, cloth diapering systems can easily be used along with disposable diapers without compromising a sanitary environment.

Diaper Changing Procedure is Most Important

According to the National Resource Center for Health and Safety in Child Care, a diaper must be "able to contain urine and stool and minimize fecal contamination of the children, caregivers, environmental surfaces, and objects in the child care setting." Both disposable and cloth diapers meet this standard, although of all the modern cloth diaper systems, the All in One and Pocket styles may be the best choices to fulfill this requirement. In any case, the actual diapering procedure is more vital for the promotion of sanitary conditions than the actual diaper used.

Regulated (licensed or certified) child care programs are required to have diaper changing procedures that fulfill state or county regulations. These regulations are set up to minimize illness, especially those of the small intestine, by promoting healthy and sanitary conditions. Because the vast majority of small intestine illnesses in the child care setting are spread by fecal contamination, proper sanitation procedures are essential to stop the spread of diseases like Hepatitis A, Rotavirus, Giardia, E. Coli, and Shingella. I'm sure we can all agree that we don't want these diseases spread to our children!

Although the regulations covering diaper changes may differ from state to state, a good diaper changing policy will include:

• Handwashing of the caregiver both before and after the diaper change
• A dedicated space used only for diaper changes with a hard, washable surface and close to a sink that is not used for food preparation
• Hygienic disposal of paper diapers or storage of cloth diapers in an inaccessible covered container
• Washing and disinfecting the changing surface after every use
• Washing the child's hands after the diaper change
• In addition, children should always wear clothing over diapers

Some programs also use a disposable barrier like a waterproof pad under the child's bare bottom and require that their staff wear disposable gloves during the diaper changes for added protection against fecal contamination. This is not necessary as long as hands are properly washed and surfaces thoroughly washed and disinfected.

Don't assume that every child care has, or follows, sanitary diaper changing procedures, especially if your child care provider is unregulated. I know of unregulated providers who change diapers on the bed, couch, or floor surrounded by the other children. One that I know of even asks toddlers to throw other children's soiled diapers into the garbage can! Be sure to ask your child care provider what her diaper changing procedures are.

Cloth Diapers and Child Care CAN Get Along Together

Parents who want their child care program to use cloth should familiarize themselves with their state's rules and regulations concerning diapering in child care settings. Contact your local Resource and Referral agency or Department of Health and Family for a copy of your state's child care regulations. Be sure to choose an easy to use system of cloth diapers, and teach your child's provider how to use them. Also remember to show appreciation for the child care provider's willingness to step out of her comfort zone. A simple "Thank you" can go a long way.

Child care providers who are faced with a parent requesting the use of cloth diapers should familiarize themselves with the cloth diaper system presented by the parent. Be sure to ask any questions you have, and share any concerns or difficulties you may experience. Keep an open mind, you may enjoy the bright colors and soft feel of cloth diapers in comparison to the institutional

As stated earlier, the type of diaper used is less important than proper diaper changing procedure. Both cloth and disposable diapers can spread disease to children and child care workers if handled improperly; both cloth and disposable diapers can be convenient and hygienic when handled properly. It's easy to see that cloth diapers and child care do go together!